Organization
MIDLAND AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA R FRINK PARAMEDIC SPECIALIST (BILLING DIRECTOR)
(319) 462-5817
Entity
Organization
Contact information
Practice address
108 SOUTH WASHINGTON STREET, WYOMING, IA 52362
(563) 488-3414
Mailing address
104 BROADWAY PLACE, ANAMOSA, IA 52205
(319) 462-5817
(319) 462-4689
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2530400
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072082
—
IA
Enumeration date
11/15/2005
Last updated
08/22/2020
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